| NPI | 1891982096 |
|---|---|
| Doing Business As | LA VITA COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE GIVANT Owner 858-453-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA 48731) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2022-11-15 |